Effect of early nursing intervention on cognitive and compliance of cognitive function rehabilitation in patients with lacunar infarction

Abstract

Objective To investigate the effect of early nursing intervention on cognitive and compliance of cognitive function rehabilitation in patients with lacunar infarction.Methods 61 patients with lacunar infarction were chosen and Montreal cognitive assessment (MoCA) was used to evaluate their cognitive dysfunction.Those who scored less than 26 were randomly divided into the experimental group and the control group.The control group was given conventional cognitive rehabilitation nursing,while the experimental group was given early nursing intervention for 3 months in addition,which included developing individual rehabilitation exercise and finger operation training according to patients' conditions.Two weeks after intervention,cognitive function rehabilitation effect was compared between two groups,and one,two and three months later,two groups'compliance of cognitive function rehabilitation was investigated.Results Before nursing intervention,scores of cognitive function rehabilitation in two groups were (4.8 ±0.68) and (4.8 ±0.54),and there was no statistically significant difference (P ＞ 0.01).Two groups after intervention,score of cognitive function rehabilitation was (15.7 ±2.65) in the experimental group and (11.5 ± 1.87) in the control group,and the difference was statistically significant (t =7.088,P ＜ 0.01).3 months later,patients' compliance of cognitive function rehabilitation in the first,second and third month was all higher in the experimental group than in the control group,and the differences were statistically significant (P ＜ 0.01).Conclusions Early nursing intervention for patients with lacunar infarction can obviously improve their compliance of cognitive function rehabilitation. Key words: Lacunar infarction; Cognitive dysfunction; Early nursing intervention; Compliance